| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,111 |
5,852 |
$451K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,190 |
$129K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
762 |
755 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,859 |
2,327 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,375 |
1,245 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
410 |
404 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
465 |
459 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
261 |
251 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,338 |
1,217 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
939 |
826 |
$9K |
| 86580 |
|
1,512 |
1,497 |
$9K |
| 90461 |
|
477 |
413 |
$6K |
| 90677 |
|
40 |
40 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
403 |
354 |
$3K |
| 90716 |
|
76 |
76 |
$1K |
| 90674 |
|
76 |
74 |
$629.07 |
| 87807 |
|
34 |
34 |
$289.74 |
| 90633 |
|
137 |
137 |
$272.16 |
| 90713 |
|
353 |
352 |
$260.62 |
| 90700 |
|
298 |
297 |
$147.93 |
| 90651 |
|
54 |
54 |
$125.00 |
| 90686 |
|
251 |
246 |
$100.00 |
| 90680 |
|
39 |
39 |
$75.00 |
| 90656 |
|
89 |
89 |
$50.00 |
| 94760 |
|
213 |
190 |
$2.67 |
| 90647 |
|
147 |
146 |
$0.00 |
| 90620 |
|
29 |
29 |
$0.00 |
| 99070 |
|
108 |
100 |
$0.00 |
| 90744 |
|
21 |
21 |
$0.00 |